The impact of rapid response systems on mortality and cardiac arrests - A literature review.
Cardiac arrests
Critical care outreach
In-hospital mortality
Literature review
Medical emergency team
Rapid response system
Rapid response team
Journal
Intensive & critical care nursing
ISSN: 1532-4036
Titre abrégé: Intensive Crit Care Nurs
Pays: Netherlands
ID NLM: 9211274
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
02
05
2019
revised:
31
01
2020
accepted:
19
02
2020
pubmed:
8
4
2020
medline:
11
11
2020
entrez:
8
4
2020
Statut:
ppublish
Résumé
Rapid response systems were created to improve recognition of and response to deterioration of general ward patients. This literature review aimed to evaluate the evidence on whether rapid response systems decrease in-hospital mortality and non-intensive care unit cardiac arrests. Six databases (MEDLINE, Cochrane Central Register of Controlled Trials, Cumulative Index of Nursing and Allied Health Literature, SCOPUS, Web of Science and PubMed) were systematically searched for primary studies published between 1st January 2014 and 31st October 2017, recruiting general ward patients, where the intervention involved introducing/maintaining a rapid response system, the comparison referred to a hospital setting without a rapid response system and the outcomes included mortality and cardiac arrests. Fifteen studies met eligibility criteria: one stepped wedge cluster randomised controlled trial, one concurrent cohort controlled study and thirteen historically controlled studies. Thirteen studies investigated mortality of which seven reported statistically significant findings in favour of rapid response systems. Thirteen studies investigated cardiac arrests, of which eight reported statistically significant findings in favour of rapid response systems. Evidence suggests that when the process of introducing/maintaining a rapid response system is successful and under certain favourable conditions, rapid response systems significantly decrease mortality and cardiac arrests.
Sections du résumé
BACKGROUND
BACKGROUND
Rapid response systems were created to improve recognition of and response to deterioration of general ward patients.
AIM
OBJECTIVE
This literature review aimed to evaluate the evidence on whether rapid response systems decrease in-hospital mortality and non-intensive care unit cardiac arrests.
METHOD
METHODS
Six databases (MEDLINE, Cochrane Central Register of Controlled Trials, Cumulative Index of Nursing and Allied Health Literature, SCOPUS, Web of Science and PubMed) were systematically searched for primary studies published between 1st January 2014 and 31st October 2017, recruiting general ward patients, where the intervention involved introducing/maintaining a rapid response system, the comparison referred to a hospital setting without a rapid response system and the outcomes included mortality and cardiac arrests.
RESULTS
RESULTS
Fifteen studies met eligibility criteria: one stepped wedge cluster randomised controlled trial, one concurrent cohort controlled study and thirteen historically controlled studies. Thirteen studies investigated mortality of which seven reported statistically significant findings in favour of rapid response systems. Thirteen studies investigated cardiac arrests, of which eight reported statistically significant findings in favour of rapid response systems.
CONCLUSION
CONCLUSIONS
Evidence suggests that when the process of introducing/maintaining a rapid response system is successful and under certain favourable conditions, rapid response systems significantly decrease mortality and cardiac arrests.
Identifiants
pubmed: 32253121
pii: S0964-3397(20)30051-3
doi: 10.1016/j.iccn.2020.102848
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
102848Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.